1. Do you lose time from work due to drinking / using?
   
   
2. Is drinking / using making your home life unhappy?
   
   
3. Do you drink / use because you are shy with other people?
   
   
4. Is drinking / using affecting your reputation?
   
   
5. Have you ever felt remorse after drinking / using?
   
   
6. Have you ever gotten into financial difficulties as a result of drinking / using?
   
   
7. Do you turn to lower companions and inferior environment when drinking / using?
   
   
8. Does your drinking / using make you careless of your families welfare?
   
   
9. Has your ambition decreased since drinking / using?
   
   
10. Do you crave a drink / drug the next morning?
    
    
11. Do you want a drink / drug the next morning?
    
    
12. Does drinking / using cause you to have difficulty in sleeping?
    
    
13. Has your efficiency decreased since drinking / using?
    
    
14. Is drinking / using jeopardizing your job or business?
    
    
15. Do you drink / use to escape from worries or troubles?
    
    
16. Do you drink / use alone?
    
    
17. Have you ever had a complete loss of memory as a result of drinking / using?
    
    
18. Has your physician ever treated you for drinking / using?
    
    
19. Do you drink / use to build up your self-confidence?
    
    
20. Have you ever been to a hospital or institution because of your drinking / using?

If you answered YES to any one of the questions, there is a definite warning that you may be alcoholic/chemically dependent.

If you answered YES to any two, the chances are that you are alcoholic/chemically dependent.

If you answered YES to three or more, you are definitely an alcoholic/chemically dependent person.

(The above Test Questions are used by Johns Hopkins University Hospital, Baltimore, MD, in deciding whether or not a patient is alcoholic.)